Federal agencies must stop disbursing financial assistance starting at 5 p.m. today under a new budget directive, threatening funding for providers and creating significant uncertainty for Medicaid payments to states.

State Medicaid programs across the country reported Tuesday they had lost access to federal payment portals one day after President Trump announced a freeze on federal grants and aid. By the late

Karoline Leavitt confirmed Tuesday afternoon the downed portals after multiple reports from lawmakers that their states could not get access to Medicaid dollars.